Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Yingda
VIP
from Singapore asked a question

When is surgery required for strabismus?

Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.


Dr David Chan
Dr David Chan
(9 Reviews)
97 answers on DxD

Dr Por Yong Ming
Dr Por Yong Ming
(3 Reviews)
78 answers on DxD

Eye & LASIK

My daughter has exotropia in her right eye, for which the doctor has advised patching treatment. The strabismus isn't currently affecting her vision, but I'm worried that she may require surgery some day. May I know when and how doctors decide if surgery is necessary?

DOCTOR’S ANSWER (1)

Hi Yingda

I saw in another of your questions that you are referring to intermittent exotropia (intermittent XT), where the child's eyes sometimes are straight and at other times turn outwards.

This is perhaps one of the most common squints that we see in Singapore.

There are various aspects in assessing how significant the condition is, in a particular patient.

1. Patients with intermittent XT can control their eye position some of the time, but not all of the time. If the squint appears more often, or for longer periods of time, that could be an indication of deterioration in the condition

2. If the angle of the squint is getting larger, that could also be a sign of deterioration

3. Control of eye position is also determined in clinic and monitored. Sometimes the squint becomes obvious only if we cover one eye, and quickly becomes straight again by itself-this is good control. Poor control is shown when the eyes deviate spontaneously and cannot straighten by themselves.

4. 3D vision, or stereoacuity is monitored. If this worsens, it could also be a sign that the squint is worsening.

Like all squint operations, the aims of surgery can be to preserve/restore binocular function (including 3D vision/stereopsis), prevention of double vision, and cosmesis/appearance.

Surgery for intermittent XT may be considered if there are signs of deterioration, of which one of the most important considerations is the first point-ie the XT is happening for longer and longer periods of time. If the XT becomes constant, there is also the risk of 'lazy eye' or amblyopia, where vision is not good despite correction of spectacle power.

Although it can be a bit controversial, most of the time if surgery is needed we prefer to operate when the child is a bit older eg above 4 years of age. However, if a child has eg deteriorated rapidly to a constant squint, earlier surgery might be advisable. Each case has to be considered on its own particular characteristics, to some extent.

Having said all that, don't worry as long as you are being monitored by an eye doctor. Although I don't have the actual statistics, in my experience most children with intermittent XT don't deteriorate to such an extent as to require surgery.

0 254 views 0 Doctors agree Mon May 14 2018 15:47:30 GMT+0000 (UTC)
Not the answer you're looking for? Browse other answers tagged Eye & LASIK or ask your own question now FOR FREE.

Get Doctor Quotes

Name of Treatment
Category
Budget
Full Name
Email
Contact Number
Other Information
Contact By Phone
Contact By WhatsApp